| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,480 |
2,138 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,000 |
883 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,021 |
896 |
$33K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
215 |
208 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
701 |
652 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
115 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
714 |
568 |
$8K |
| 99460 |
|
139 |
133 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
439 |
181 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
26 |
$2K |
| 90473 |
|
225 |
196 |
$2K |
| 99381 |
|
13 |
12 |
$821.27 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
17 |
17 |
$526.49 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
15 |
$407.07 |
| 87807 |
|
29 |
27 |
$346.82 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
14 |
$108.22 |
| 90670 |
|
600 |
523 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |
| 90680 |
|
345 |
291 |
$0.00 |
| 90698 |
|
593 |
490 |
$0.00 |
| 90686 |
|
66 |
63 |
$0.00 |
| 90744 |
|
236 |
189 |
$0.00 |